14D1098861 CLIA NUMBER - GLEN ELLYN VISION CENTER

Laboratory Demographics

  • CLIA Code: 14D1098861
  • Facility Name: GLEN ELLYN VISION CENTER
  • Facility Address: 440 N MAIN ST
    GLEN ELLYN, IL
    ZIP 60137
  • Facility Phone: 630 469-4141
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARTIN J. SIKORSKI
  • NPI Number: 1588727663
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 14D1098861
LAB Type Physician Office
Facility Name GLEN ELLYN VISION CENTER
Street 440 N MAIN ST
City GLEN ELLYN
State IL
ZIP 60137
Phone 630 469-4141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Physician Office
Lab Director MARTIN J. SIKORSKI

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This page was last updated on: 9/29/2025